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      Colonic Motility and Jejunal Vagal Afferent Firing Rates Are Decreased in Aged Adult Male Mice and Can Be Restored by an Aminosterol

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          Abstract

          There is a general decline in gastrointestinal function in old age including decreased intestinal motility, sensory signaling, and afferent sensitivity. There is also increased prevalence of significant constipation in aged populations. We hypothesized this may be linked to reduced colonic motility and alterations in vagal-gut-brain sensory signaling. Using in vitro preparations from young (3 months) and old (18–24 months) male CD1 mice we report functional age-related differences in colonic motility and jejunal mesenteric afferent firing. Furthermore, we tested the effect of the aminosterol squalamine on colonic motility and jejunal vagal firing rate. Old mice had significantly reduced velocity of colonic migrating motor complexes (MMC) by 27% compared to young mice ( p = 0.0161). Intraluminal squalamine increased colonic MMC velocity by 31% in old mice ( p = 0.0150), which also had significantly reduced mesenteric afferent single-unit firing rates from the jejunum by 51% ( p < 0.0001). The jejunal vagal afferent firing rate was reduced in aged mice by 62% ( p = 0.0004). While the time to peak response to squalamine was longer in old mice compared to young mice (18.82 ± 1.37 min vs. 12.95 ± 0.99 min; p = 0.0182), it significantly increased vagal afferent firing rate by 36 and 56% in young and old mice, respectively ( p = 0.0006, p = 0.0013). Our results show for the first time that the jejunal vagal afferent firing rate is reduced in aged-mice. They also suggest that there is translational potential for the therapeutic use of squalamine in the treatment of age-related constipation and dysmotility.

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          Most cited references60

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          Epidemiology of constipation in North America: a systematic review.

          The aim of this study was to systematically review the published literature regarding prevalence, risk factors, incidence, natural history, and the effect on quality of life of constipation in North America. A computer-assisted search of MEDLINE, EMBASE, and Current Contents databases was performed independently by two investigators. Study selection criteria included the following: (1) North American population-based sample of adults with constipation; (2) publication in full manuscript form in English; and (3) report on the prevalence, incidence, and natural history of constipation or impact of constipation on quality of life. Eligible articles were reviewed in a duplicate, independent manner. Data extracted were compiled in tables and presented in descriptive form. The estimates of the prevalence of constipation in North America ranged from 1.9% to 27.2%, with most estimates from 12% to 19%. Prevalence estimates by gender support a female-to-male ratio of 2.2:1. Constipation appears to increase with increasing age, particularly after age 65. No true population-based incidence studies or natural history studies were identified. In one cohort, 89% of patients with constipation still reported constipation at 14.7 months follow-up. From limited data, quality of life appears to be diminished by constipation, but the clinical significance of this is unclear. Constipation is very common, as approximately 63 million people in North America meet the Rome II criteria for constipation. Minimal data are available regarding incidence, natural history, and quality of life in patients with constipation. Effort should be expended toward the study of these topics, particularly in the elderly, who are disproportionately affected by this condition.
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            Review of community prevalence of depression in later life

            Despite considerable interest, there is no consensus regarding the prevalence of depression in later life.
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              A 5-Year Observational Study of Patients With Treatment-Resistant Depression Treated With Vagus Nerve Stimulation or Treatment as Usual: Comparison of Response, Remission, and Suicidality

              The Treatment-Resistant Depression Registry investigated whether adjunctive vagus nerve stimulation (VNS) with treatment as usual in depression has superior long-term outcomes compared with treatment as usual only.
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                Author and article information

                Contributors
                Journal
                Front Neurosci
                Front Neurosci
                Front. Neurosci.
                Frontiers in Neuroscience
                Frontiers Media S.A.
                1662-4548
                1662-453X
                10 September 2019
                2019
                : 13
                : 955
                Affiliations
                [1] 1St. Joseph’s Healthcare, The Brain-Body Institute, McMaster University , Hamilton, ON, Canada
                [2] 2Department of Biology, McMaster University , Hamilton, ON, Canada
                [3] 3Department of Psychiatry and Behavioural Neurosciences, McMaster University , Hamilton, ON, Canada
                Author notes

                Edited by: Nick Spencer, Flinders University, Australia

                Reviewed by: Jing Feng, Washington University Medical Center, United States; Guillaume De Lartigue, University of Florida, United States

                *Correspondence: Christine L. West, westcl2@ 123456mcmaster.ca ; westcl294@ 123456gmail.com

                This article was submitted to Autonomic Neuroscience, a section of the journal Frontiers in Neuroscience

                Article
                10.3389/fnins.2019.00955
                6746984
                31551703
                2ab6e5e2-1b8c-418e-935a-f6153c4caa18
                Copyright © 2019 West, Amin, Farhin, Stanisz, Mao and Kunze.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 04 June 2019
                : 23 August 2019
                Page count
                Figures: 5, Tables: 0, Equations: 0, References: 67, Pages: 10, Words: 0
                Funding
                Funded by: Natural Sciences and Engineering Research Council of Canada 10.13039/501100000038
                Categories
                Neuroscience
                Original Research

                Neurosciences
                aging,vagal afferent,motility,constipation,squalamine
                Neurosciences
                aging, vagal afferent, motility, constipation, squalamine

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